Prophylactic Mastectomy 8 Years Later?

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Ukkate
Ukkate Member Posts: 292
edited April 2021 in Employment, Insurance, and Other Financial Issues

My Oncologist told me that my risk of a secondary cancer was pretty high and said that I ought to get my breast removed at some point (he recommended at the 10 year mark when I would likely have my implant replaced). I'm 8 years out now and I made an appointment with the breast surgeon (my surgeon retired) and he said that insurance would likely deny this without a genetic risk. He's referring me for genetic testing but has anyone been successful getting this so many years later? My insurance information is vague.and talks about different risk calculators (which aren't applicable if you've already had BC).

Let me know if you've gone though this.

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  • Dani444
    Dani444 Member Posts: 522
    edited April 2021

    I had a preventative mastectomy a couple years after my UMX. I know that’s not as long as what you are dealing with. I had no trouble with my insurance covering it and my genetic testing was negative. I am sure they would have a way with your high risk to justify it to the insurance. I hope you have a good meeting with your surgeon, I understand all insurance companies are different but I hope they can appropriately advocate for you.

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  • Ukkate
    Ukkate Member Posts: 292
    edited April 2021

    Thanks for responding. It was the surgeon that gave me the "brush off". My original surgeon has retired and I feel like she would've fought harder for me. I'll talk to my oncologist (who recommended this in the first place!)

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